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Waking up with Blood in the mouth.
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Waking up with Blood in the mouth.

Every morning a dear friend of mine wakes up with blood in his mouth.  It's in his mouth and on his lips.  He has no visible soars in his mouth or on his lips.  The blood is red and appears to be fresh.  This has been happening everyday for about six months.  What could it be?  He does take medication for his heart, blood pressure and cholesterol.
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Blood in the mouth is either coming from the oropharynx (mouth cavity) itself, the GI system (i.e. esophagus and upper GI tract), or the lungs.  As you can imagine the list of causes is quite broad.

There can be several directions you can take.  If a GI causes is suspected, a GI evaluation can be considered, with an upper endoscopy as the next step.

If there is a lung cause suspected, a pulmonologist can be consulted for lung imaging and possible bronchoscopy.

Another potential cause would be the sinues and ear/nose/throat system. If this is suspected an otolaryngology consult (i.e. ENT physician) can be suggested.

Your primary care provider should be involved and make the decision as to which direction to proceed.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.
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